Provider Demographics
NPI:1740388701
Name:NAIDU, RAHUL K (MD)
Entity Type:Individual
Prefix:DR
First Name:RAHUL
Middle Name:K
Last Name:NAIDU
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:520 JEFFERSON AVE
Mailing Address - Street 2:SUITE 400
Mailing Address - City:JEANNETTE
Mailing Address - State:PA
Mailing Address - Zip Code:15644-2538
Mailing Address - Country:US
Mailing Address - Phone:724-527-8060
Mailing Address - Fax:724-522-4002
Practice Address - Street 1:100 EXCELA HEALTH DR STE 102
Practice Address - Street 2:
Practice Address - City:LATROBE
Practice Address - State:PA
Practice Address - Zip Code:15650-9001
Practice Address - Country:US
Practice Address - Phone:724-804-1760
Practice Address - Fax:724-804-1762
Is Sole Proprietor?:No
Enumeration Date:2006-09-20
Last Update Date:2018-10-26
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
PA042822L207Y00000X, 207YS0123X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207YS0123XAllopathic & Osteopathic PhysiciansOtolaryngologyFacial Plastic Surgery
No207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0012456990002Medicaid
E81241Medicare UPIN
PA665894Medicare PIN